Summer 2023 Boys Basketball Camp
July 12, 13 & 14 2023 (

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Email *
Camper Name *
Camper Grade (2023/2024 School Year) *
Camper Shirt Size *
Parent Name *
Parent Phone # *
Emergency Contact Name and Phone Number *
Please list any Allergies *
Please list prefered Hospital in the event of an Emergency *
Please select payment method, please note payment is not accepted online. This is telling us the way in which you choose to pay. *
I/We, the parent(s)/guardian(s) of the above named candidate for participation in the Massillon Boys Basketball Summer Camp, assume all risks and hazards incidental to such participation including transportation to and from activities.  I/We, hereby waive, release, absolve, indemnify and agree to hold harmless the Massillon City Schools, Massillon Courtsiders Booster Club, Massillon Boys Basketball Program, to include:  its’ Board Members,, Staff, Volunteers, Organizers, Sponsors & Supervisors for any claim arising out of an injury, sickness and or death to my/our child, whether the result of negligence or for any other cause, except to the extent and in the amount covered by accident or liability insurance. *
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